Form 3 GAP INC For: Aug 12 Filed by: GOLDNER BRIAN
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| FORM
3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF
SECURITIES
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act
of 1940
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person
*
(Street)
| SAN FRANCISCO |
CA |
94105-1205 |
|
2. Date of Event Requiring Statement
(Month/Day/Year)
08/12/2016
|
3. Issuer Name
and
Ticker or Trading Symbol
GAP INC
[
GPS
]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
|
3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
|
2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
By: Marie Ma, Power of Attorney For: Brian Goldner |
08/15/2016 |
|
** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Exhibit 24
POWER OF ATTORNEY
I, Brian Goldner, hereby constitute and appoint Paul Adams, Thomas J.
Lima, Marie Ma, Lisa Mertens, and Frances Turalba with the power to sign
alone, as my true and lawful attorney-in-fact to act for me in my capacity as
an officer and/or director of THE GAP, INC. (the Company) to:
1. Sign and file the Uniform Application for Access Codes on Edgar;
2. Prepare, sign and file Forms 3, 4 and 5 in furtherance
of satisfying my obligations under Section 16(a) of the
Securities Exchange Act of 1934 (the 1934 Act) with
respect to Company securities;
3. Prepare, sign and file notices on Form 144 in
furtherance of satisfying my obligations, if any, under
Rule 144 under the Securities Exchange Act of 1933 (the
1933 Act) with respect to Company securities; and
4. Execute and deliver any and all documents, take any
and all steps and do any and all things that my
attorney in fact may deem necessary or appropriate in
furtherance of the purposes stated in (1), (2) and (3)
above.
I hereby grant to each attorney-in-fact full power and
authority to do and perf01m any act that he or she deems
necessary or appropriate in the exercise of any of the rights
and powers granted by this Power of Attorney, as fully to all
intents and purposes as I might or could do if personally
present, with full power of substitution or revocation. I
acknowledge that neither my attorneys-in-fact nor the Company
is assuming any of my responsibilities and obligations to
comply with the 1933 Act, the 1934 Act and the rules
thereunder.
This Power of Attorney will remain in effect until I am
no longer required to file Forms 3, 4, 5 or 144 with respect
to Company securities, except that I reserve the right to
revoke this Power of Attorney by written notice delivered to
my attorneys in fact and the Company.
Date: August 12, 2016 /s/ Brian Goldner
Brian Goldner
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